1981, 08-31 Permit: 81A-8709 Storage BldgP—r-NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E 773C'I
LOT
4.
5.
BLOCK
4 -
SUBDIVISION
Mto;,1 Av
iDb
OWNER
ENNE czsc�.�
ADDRESS
CONTRACTOR
ADDRESS
SA rv�
DESIGNER
PHONE
cca4 -ct tinct
ZI P
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
24.S3 - od oct
Actual Set Backs in Feet
North .2: [South
rf
East SI west f. 1
PHONE
Size of Parcel
ZI P
Gxi"?
Type Const. Occupancy
Zone Classification
RcS. r11, t v E
Sprinklered
Elves ❑No ❑ Req'd.
PHONE
Valu tion
2 36a
Building Area in Sq. Ft.
7G.
ADDRESS
ZIP
Main FlooLd Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin_ Basement
7.
TYPE
OF
WORK
NEW ❑ ALT.
KJ BLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
1
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
`✓
DESCRIBE WORK
VALUATION
9.1)2,36.)4-.
SOURCE
.1)2,36.)ti-
SrO-1\6&.. L'iJ��ir1i�!vC
Enum. Dist. I Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership ,_,/
Public ❑ Private �C
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /j
DATE OF APPLICATIODaI!_ . 1 / SIGNATURE OF APPLICANT ....4.1
Meth.
Plan Check
r7 " 1 Y/ SEPA
Mobile Home
Other (Specify)
FEES COLLECTED
Single
Building
Plumbing
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env.
H ea It h
ff��
Planning
Fire Marshall
Co. Engineer
jJc rp 4'o
Utilities
Plans Examiner
13VT' 'R d'O
SEPA Checklist
0 ing echnician
4
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL
38. on
PERMIT IV1;MB.
02* *3800
*3800
*38006
A *000 0
870,82
08-31.-81
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O,;8!. tO 8 it
DATE ISSUED PERMIT NO.
870.95
TOTAL
r
NEW ,9tA4E
i
Sn,cA4NG,
_4.CirriNg, $ r.t
4
1'